Medicine and Health Sciences Commons^™

Effects Of Managed Care On The Professional Autonomy Of Board Certified Physical Therapy Specialist's Practice, Cami Diezel

Department of Physical Therapy Student Theses, Dissertations and Capstones

Purpose: Identify perceptions of professional autonomy of Board Certified Physical Therapy Specialists (BCPTS) who practiced in managed care environments.

Guiding questions: Do BCPTS perceive an increase in professional autonomy as a specialist than as a generalist? How do the perceptions of professional autonomy vary among each specialization? What variables affect perceptions of professional autonomy among BCPTS?

Method: Two-hundred BCPTS throughout the country were randomly chosen as participants. One-hundred-eight respondents were used as subjects.

Data analysis: Frequency distributions and Pearson's correlation coefficient statistic were utilized.

Results: Majority of respondents reported no increase in professional autonomy as a specialist. Greater than three-quarters …

The Effect Of Tape And Neoprene Ankle Supports On Balance In Athletes With Injured Ankles, Tara Michelle Gerlach

Theses, Dissertations and Capstones

Injuries to the ankle joint are among the most common in athletics (Feuerbach et al., 1994; Gross, 1987). As clinicians, it is important to investigate various factors which could potentially reduce the occurrence of ankle injuries. One such actors is an improvement in proprioception (Cox et al., 1993; Glencross & Thornton, 1994). A suggested method for improving proprioception in the ankle is application of an external support, such as tape or a brace (Feuerbach et al. , 1994; Karlsson & Andreasson, 1992 ) . This study compared the proprioceptive abilities of the ankle under three conditions: unsupported, taped, and using …

Progestin Stimulation Of The Protooncogene C-̲M̲Y̲C In T47d Human Breast Cancer Cells, Kristy Ann Blankenship

Theses, Dissertations and Capstones

Moore and co-workers have previously demonstrated that progestins stimulate the growth of T47D human breast cancer cells. We now investigate the possibility that progestins might transactivate the protooncogcne c-myc as part of the mechanism for growth stimulation. Treatment of T47D cells with the synthetic progestin R5020 results in a rapid, dose-dependent increase in c-myc mRNA. This stimulation is evident as early as 5 minutes, increases up to 4-fold at 1 hour, and then returns toward basal levels. The optimal concentration of R5020 for induction of c-myc gene expression is 10 nM, which is within the physiologically relevant range of hormone …

Characterization Of The Promoter And Upstream Activation Sequences Of Sporulation-Specific Genes Spr1 (Ssg1) And Spr2 In Saccharomyces Cerevisiae, Sharmini S. Soosaithasan

Theses, Dissertations and Capstones

Sporulation is a developmental process in which temporally distinct sets of genes regulate the processes of meiosis and ascospore formation. Sporulation-specific genes are classified into early, middle, and late genes based on their peak time of expression during sporulation. Regulation of two late genes, SPR1 and SPR2, was studied. The function of SPR2 is unknown. Its regulatory region contains two Mid Sporulation Elements (MSE) repeated in tandem that are sufficient to confer sporulation-specific regulation to a CYCl-lacZ reporter. These sequences have UAS (upstream activation sequence) properties, as each 14 base pair element is sufficient to confer sporulation-specific regulation …

Adolescent Depression: The Influence Of Self-Esteem, Self-Consciousness And Gender, Kevin W. Adams

Theses, Dissertations and Capstones

This study explored gender differences in reports of depressive symptoms among adolescents. Self-esteem was examined for its relationship to reports of depressive symptoms and self-consciousness was examined to determine its influence on self-esteem and depression. One hundred four 10th grade students were involved in the study. The Beck Depression Inventory-II, the Imaginary Audience Scale, and the Rosenberg Self-Esteem Inventory were used in the analysis. A hierarchical multiple regression analysis was used to analyze the data. Alpha was set at .05. A positive relationship was found between gender and the variables of depression, abiding self-consciousness, transient self-consciousness, and self-esteem. Females scored …

Hamstring Tendons As Autograft Replacements In Acl Reconstructions: A Review Of The Literature, Jason Anderson

Physical Therapy Scholarly Projects

Hamstring tendons have gained a great deal of acceptance in anterior cruciate ligament (ACL) reconstruction procedures in the 1990's, but some misconceptions concerning the ability of hamstring grafts to successfully replace ruptured ACLs still exist. More surgeons are using hamstring tendons to reconstruct ACL-deficient knees because their harvest does not disrupt the extensor mechanism of the knee. Enthusiasts of the hamstring graft believe that it promotes quicker return of quadriceps strength and knee range of motion without a prevalence of postoperative pateIIofemoral symptoms.

The purpose of this review is to dispute the concerns that exist concerning the initial tensile strength, …

A Review Of Periodization Of Strength And Its Clinical Implications To Physical Therapy, John Andrew

Physical Therapy Scholarly Projects

Currently no literature or studies in the physical therapy profession explore the use of periodization of strength principles. Therefore, the purpose of this independent study will be to perform a literature review of periodization of strength and how these training concepts are applicable to physical therapy.

Periodization is a strengthening technique which varies the training stimulus so that continuous gains in strength are accrued. The general progression of training is from low intensity and high volume to high intensity and low volume. To achieve these changes in intensity and volume the number of sets, repetitions, and load is periodically changed. …

Improving Patient Satisfaction With A Major Healthcare Organization, Mary Carolyn Tornero

Theses Digitization Project

No abstract provided.

Identifying Community Specific Barriers To Prenatal Care Services, Linda Pearl Helsper

Theses Digitization Project

The intent of this research project was to discover the barriers that exist in this community when a woman attempts to access prenatal care. A concern for the well being of the children in the community and a belief in the importance of early intervention to enhance outcomes inspired the idea for this project.

The Effects Of Hiv/Aids Education Curriculum On The Knowledge, Attitudes, Beliefs And Behaviors Of College Freshmen, Kimberly Sue Curry, Frank Thomas Pullara Jr.

Theses Digitization Project

No abstract provided.

Rehabilitation Of Obesity, Patricia Ann Thomas

Theses Digitization Project

This project investigates the many influences throughout the life span that interact to cause obesity. Heredity factors, overfeeding in infancy and childhood, repeated dieting, inactivity, lifestyle and psychosocial conditions all contribute to the incidence of obesity.

Chronic Childhood Disease And Child Abuse, Michelle Marie Lindholm

Theses Digitization Project

The purpose of the present research is to investigate whether or not chronically ill children are victims of child abuse more frequently than healthy children. The gender of the child and of the parent will also be examined for differences in the treatment children receive.

A Constructive View Of The Non-Compliant Patient: Understanding Barriers To Compliance And Proposed Solutions, Barbara Smith

Theses Digitization Project

The health care industry is currently experiencing many changes. Managed care is altering the way health care is delivered through advances in technology and new approaches in financing. As part of this transition, importance will be placed on patients becoming better consumers and participants in determining their health care service needs. The focus of this study is on the non-compliant patient and the many factors that revolve around this topic.

Compliance Behavior In Physical Therapy Home Programs, Douglas Paul Rosario

Theses Digitization Project

No abstract provided.

Cocaine Usage And Sentencing Of African American Males, Harun Hazim

Theses Digitization Project

No abstract provided.

Indicators Of Leadership Characteristics Of Health Care Administrators: Executive Tenure, Behavioral Attributes, And Self-Professed Values, Kenneth Dale Kassinger

Theses Digitization Project

No abstract provided.

Elementary School Teachers' Recognition Of Depression In Children, Mixel Ventura, Emelinda Figueroa

Theses Digitization Project

No abstract provided.

A Review Of Osteochondritis Dissecans In The Knee And Elbow, Kimberley Dalere

Physical Therapy Scholarly Projects

Osteochondritis dissecans (OCD) is a condition or injury that causes a separation on the subchondral bone and articular cartilage. I,2 The reported incidence of OCD is 30- 60 cases per 100,000 people.3 It is primarily found in the knee and elbow joints. 1,2,3 The male to female ratio has been reported as two to one in the knee joint and three to one in the elbow joint, with thirty three per cent having bilateral involvement in one occurrence. I ,4,5,6 Since OCD has a high incidence rate in men and women, the purpose of this study is to compare and …

The Effectiveness Of The Lateral Retinacular Release On Decreasing Pain And Increasing Stability In The Patellofemoral Joint, Celeste M. Hansen

Physical Therapy Scholarly Projects

The lateral retinacular release is one of the most commonly performed surgical procedures used to treat patellofemoral pain and instability. The purpose of this pilot study is to provide insight into the effectiveness of the lateral retinacular release for decreasing patellofemoral pain with activity and increasing knee stability. A survey \vas sent to 21 patients who had undergone the LRR that addressed the following issues: reason for surgery, stability and pain following surgery, return to prior activities, and the presence of physical therapy before and after surgery. The results from this pilot study identified the following areas of concem: a …

Physical Therapy Outcomes In Patients With Anterior Cruciate Ligament Reconstruction, Tammy Reis

Physical Therapy Scholarly Projects

This study was conducted to assist St. Alexius Medical Center's Institute of Sports Medicine in the analysis of physical therapy outcomes for patients who underwent anterior cruciate ligament reconstruction. A retrospective review of data gathered by the physical therapists at this facility was performed and statistically analyzed to ascertain the clinical and functional effectiveness of treatment. This outcomes analysis will assist in illumination of practice patterns and provide a measure of clinical effectiveness for The St. Alexius Institute of Sports Medicine. The results of this study will be useful as an internal measure as well as an informative tool for …

The Effects Of Exercise On The Elderly Population: A Literature Review, Angela M. Thoreson

Physical Therapy Scholarly Projects

The population of those 65 years old or older has increased dramatically over the past several decades and will continue to grow well into the 21 st Century. This change in U.S. demography has also led to an increased interest in geriatric medicine and the implications physical activity has on the social, medical, and economical aspects of treating this patient population.

Research has shown that people who participate regularly in aerobic activity have lower mortality and morbidity rates, even if an exercise program is started later in life. Moderate exercise has been proven to be an important part of treatment …

Evaluating Program And Client Characteristics Associated With Early Dropout In An Outpatient Drug And Alcohol Clinic: A Restrospective Study, Marlene Fern Clark

Theses Digitization Project

No abstract provided.

Central City Youth And Hiv/Aids An Emerging Community Construct: Finding The Best Fit Ofprovention And Intervention Service, Michael David Black

Theses Digitization Project

No abstract provided.

Utilization Of Rehabilitation Services By American Indians With Disabilities, Luci Denise Green

Theses Digitization Project

No abstract provided.

The Rehabilitation Of Mexicans: A Comprehensive Guide, Saul Humberto Perches

Theses Digitization Project

No abstract provided.

Uncertainty And Variability Analysis In The Estimation Of Human Exposure To Mercury From Seafood Consumption Using Two-Dimensional Monte Carlo Simulations, J. Keith Bangerter

MUSC Theses and Dissertations

Fish and shellfish are a beneficial food source due to their high protein content, low saturated fat content, and low cholesterol content; they possess beneficial omega-3 fatty acids and antioxidants such as vitamin E and selenium. Recent studies identified a decreased risk of sudden cardiac death in seafood consumers. Per capita seafood consumption increased 27% from 1975 to 1990, with nearly 95% of the U.S. population consuming some kind of fish or shellfish product each year. But seafood consumption may pose health risks which need to be weighed against benefits. One of potential risks is the toxicity of methylmercury. Mercury …

Clear Cell Sarcoma Of The Kidney And Congenital Mesoblastic Nephroma: Cellular And Molecular Characterization Of Primary Tumors, Tumor Cell Lines, And Nude Mouse Xenografts Delineate Wilms' Tumor-Distinct Histopathogenetic Properties, Noel Anderson Brownlee

MUSC Theses and Dissertations

Clear cell sarcoma of the kidney (CCSK) and Congenital mesoblastic nephroma (CMN) are both pediatric renal tumors that differ from Wilms' tumor based on their distinctive histopathologic characteristics and clinical behavior. CCSK is a very malignant tumor characterized by a propensity for bone metastases, contrasting the relatively benign course characteristic of the majority of Wilms' tumors. CMN, in contrast, is a tumor of the newborn usually diagnosed within the first three months of life that is generally cured with surgery alone. To investigate further the cellular and molecular relationships of CCSK, CMN, and Wilms' tumor, a nude mouse xenograft and …

Awareness And Usage Of Alternative Medicine In The Elderly Black Population, Deborah Martin Burks

Theses

Alternative medicine covers a broad range of healing philosophies, approaches and therapies. When these therapies are used alone they are referred to as ' alternative'. When they are used with conventional therapies or other alternative therapies then they are referred to as complimentary.

Alternative medicine also embraces health beliefs and practices that fall outside of orthodox medicine. They offer the opportunity for an individual or case manager to explore alternative forms of healing when conventional treatment alone is not effective. Research has shown an increased interest in alternative medicine for the treatment of chronic illness.

The overall goal of this …

Immunopathogenesis Of A Spectrum Of Inflammatory Lung Diseases Induced By Experimental Reovirus Infection, Stephen Clifford Bellum

MUSC Theses and Dissertations

Inflammatory lung diseases cause a significant amount of morbidity and mortality. However, the mechanisms that control the initiation and resolution of pulmonary inflammatory responses have not been well-elucidated. Histopathological data suggests that the lung responds with a similar pattern of inflammation to diverse range of injurious stimuli. In order to investigate the immunopathogenesis of lung inflammation, a series of in vivo models of lung inflammation were generated in CBA/J and CD-I mice by respiratory reovirus 1/L infection. Using this approach, it was observed in CBA/J mice that a relatively low titer of reovirus 1/L induced a pattern of intraluminal fibrosis …

A Comparison Of A Traditional Training Program To The Sports Acceleration Program® In Improving An Athlete's Speed, Quickness, Agility, Strength, And Power, Brian Borchardt

Physical Therapy Scholarly Projects

Purpose. The purpose of this study was to compare a traditional training program to the Sports Acceleration Program® (SAP) in regards to the ability to improve an athlete's speed, quickness, agility, strength and power.

Methods. Twenty-four high school football players from Fargo South High (FSH)(Fargo, ND) participated in this study. Ten subjects served as the control group and participated in the FSH summer strength and conditioning program. The remaining 14 subjects were included in the experimental group and participated in the SAP. All subjects underwent seven weeks of training in their respective programs, precluded and followed by testing on performance …